NORTHCREEK DENTAL (NPI# 1396121612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396121612 |
| Entity Type | Organization |
| Organization Name | NORTHCREEK DENTAL |
| Practice Address |
318 Northcreek Blvd Suite 400 Goodlettsville TN 37072-1934 |
| Practice Telephone | 6152394000 |
| Practice Fax Number | 6152394004 |
| Mailing Telephone | 6152394000 |
| Mailing Fax Number | 6152394004 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | TED BEAZLEY (DENTIST) |
| Authorized Official Telephone | 6154266147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4638 | TN | Ambulatory Health Care Facilities |
| Street Address |
318 NORTHCREEK BLVD SUITE 400 |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447674 | Tod D Thompson | Chiropractor | 318 Northcreek Blvd, Ste 300, Goodlettsville, TN 37072-1935 | 2005-06-15 |
| 1487020012 | Virginia Beazley | Dentist | 318 Northcreek Blvd, Suite 400, Goodlettsville, TN 37072-1934 | 2015-08-18 |
| 1851702864 | Wade Scott | Chiropractor | 318 Northcreek Blvd, Ste 300, Goodlettsville, TN 37072-1934 | 2014-05-13 |
| 1316959737 | Ted A. Beazley | Dentist | 318 Northcreek Blvd, Suite 400, Goodlettsville, TN 37072-1934 | 2006-08-13 |
| 1053353771 | Goodlettsville Primary Care LLC | Family Medicine | 318 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072-1934 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057254 | Dentistry and Fastbraces PC | Clinic/Center | 107 New Brick Church Pike, Suite C, Goodlettsville, TN 37072-1545 | 2005-10-15 |
| 1336788470 | Richland Creek Dental Group, Pllc | Clinic/Center | 313 Bluebird Dr, Goodlettsville, TN 37072-2303 | 2020-01-06 |
| 1780172072 | Goodlettsville Dental Care, Pllc | Clinic/Center | 3050 Business Park Cir Ste 100, Goodlettsville, TN 37072-3659 | 2018-04-23 |
| 1174988927 | Stephanie K. Harding, D.d.s., P.l.l.c | Clinic/Center | 1000 Jackson Rd, Suite 200, Goodlettsville, TN 37072-3174 | 2015-12-21 |
| 1699891663 | David A Weaver,dmd,pc | Clinic/Center | 133 Northcreek Blvd, Goodlettsville, TN 37072-1911 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1942828124 | Adkins Family Dentistry, Pllc | Clinic/Center | 600 Tusculum Blvd Ste 1, Greeneville, TN 37745-3954 | 2020-07-14 |
| 1720605520 | Nancy Laden, D.m.d., P.l.l.c. | Clinic/Center | 105 Se Parkway Ste 101, Franklin, TN 37064-3932 | 2020-06-29 |
| 1922627413 | Colonial Dental, Plc | Clinic/Center | 560 Colonial Rd Ste 100, Memphis, TN 38117-4033 | 2020-04-14 |
| 1841823234 | Randall Restorative Solutions, Pllc | Clinic/Center | 1373 Bridgeview Dr, Chattanooga, TN 37415-1468 | 2020-02-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073155511 | Captains Way Dentistry | Clinic/Center | 3001 Knoxville Center Dr Ste 1100, Knoxville, TN 37924-5076 | 2019-10-16 |
| 1053961227 | Memphis Dentures and Implants Pllc | Clinic/Center | 8950 Us-64, Suite 108, Lakeland, TN 38002-4566 | 2019-09-18 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.